Gynecologic and Obstetric Pathology

Minor p16-Positive Metaplastic Atypias

D efinition —Immature metaplastic or reserve cell proliferations with mild atypia and strong p16 immunostaining. Clinical Features Epidemiology Reproductive-age women. Inconsistent human papillomavirus (HPV) association. Typically present with atypical squamous cells of undetermined significance (ASCUS) cervical smear. You’re Reading a…

Atrophy Including Squamous Intraepithelial Lesion in Atrophy

D efinition —Any one of the spectrum of alterations within the cervical epithelium of postmenopausal women, including squamous intraepithelial lesions (SILs). Clinical Features Epidemiology Occurs predominantly in postmenopausal women. Also can be seen in any low-estrogen state (postpartum, breast-feeding). You’re…

Low-Grade Squamous Intraepithelial Lesion (Immature Condyloma)

D efinition —Immature condyloma represents an infection of the immature metaplastic cervical transformation zone epithelium by human papillomavirus (HPV) type 6 or 11. Also variably called squamous papilloma or papillary immature metaplasia; the most appropriate term is low-grade squamous intraepithelial…

Low-Grade Squamous Intraepithelial Lesion (Giant Condyloma)

PITFALL D efinition —A variant of condyloma that presents as a grossly enlarged mass and appears to replace or cover the cervix and/or distal vagina. Clinical Features Epidemiology Sexually active, reproductive-age women. Uncommon. You’re Reading a Preview Become a Clinical…

Exophytic Low-Grade Squamous Intraepithelial Lesion

D efinition and T erminology An exophytic cervical condyloma represents an infection of the mature ectocervical or metaplastic cervical transformation zone epithelium by human papillomavirus (HPV) type 6 or 11 (low–cancer-risk subtypes). The most appropriate term is low-grade squamous intraepithelial…

Embryonal Rhabdomyosarcoma

D efinition —A malignancy of skeletal muscle presenting as a polypoid vaginal mass in young girls. Clinical Features Epidemiology Uncommon. Usually seen in females under the age of 5 years. You’re Reading a Preview Become a Clinical Tree membership for…

Spindle Cell Epithelioma

PITFALL D efinition —A benign vaginal tumor composed of keratin-positive stromal cells. Clinical Features Epidemiology Uncommon. Seen in a wide age range (20 to 80 years), with a mean age of 40 years. You’re Reading a Preview Become a Clinical…